Kidney Function: Tubular Reabsorption and Filtration. G28 - 1

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Questions and Answers

What is the primary mechanism responsible for the initial movement of sodium across the basal outer membrane?

  • Primary active transport (correct)
  • Facilitated diffusion
  • Secondary active transport
  • Simple diffusion

Which of the following statements accurately describes the role of the sodium potassium ATPase pump in glucose reabsorption?

  • The pump provides energy for the secondary active transport of glucose by maintaining an electrochemical gradient. (correct)
  • The pump acts as a co-transporter for sodium and glucose.
  • The pump is responsible for the passive diffusion of glucose.
  • The pump directly transports glucose across the membrane.

What is the main driving force for the secondary active transport of glucose in the proximal tubule?

  • The electrochemical gradient of sodium (correct)
  • The concentration gradient of glucose
  • The osmotic pressure of the interstitial fluid
  • The hydrostatic pressure in the tubular lumen

Which of the following is TRUE regarding the transport of glucose at the basal lateral side of the proximal tubule?

<p>Glucose is passively transported down its concentration gradient by a protein known as glute 1. (C)</p> Signup and view all the answers

Which statement best explains why glucose reabsorption in the proximal tubule is considered secondary active transport?

<p>The movement of glucose across the membrane is dependent on the energy derived from sodium transport. (D)</p> Signup and view all the answers

What is the primary mechanism responsible for the movement of amino acids from the tubular lumen into the tubular cell?

<p>Secondary active transport driven by the sodium gradient (B)</p> Signup and view all the answers

What is the significance of the SGLT1 and SGLT2 transporters in the context of glucose reabsorption?

<p>They function as co-transporters for sodium and glucose, contributing to the secondary active transport of glucose. (A)</p> Signup and view all the answers

If the sodium potassium ATPase pump was inhibited, what would be the most likely outcome for glucose reabsorption in the proximal tubule?

<p>Glucose reabsorption would decrease significantly due to the lack of an electrochemical gradient for sodium. (C)</p> Signup and view all the answers

What is the primary force driving the uphill movement of hydrogen ions during secondary active transport in the proximal tubule?

<p>The downhill movement of sodium ions. (D)</p> Signup and view all the answers

Which of the following statements accurately describes the relationship between transport maximum and filtered load?

<p>Transport maximum is initially proportional to filtered load, but plateaus once a certain threshold is reached. (D)</p> Signup and view all the answers

What is the primary mechanism responsible for the appearance of glucose in urine when the filtered load exceeds the transport maximum?

<p>Saturation of carrier proteins and specific enzymes involved in glucose reabsorption. (B)</p> Signup and view all the answers

The transport maximum for glucose is approximately 375mg/minute. What does this value represent?

<p>The maximum amount of glucose that can be reabsorbed by the kidneys in one minute. (C)</p> Signup and view all the answers

Why does glucose excretion in urine occur before the transport maximum is reached?

<p>Not all nephrons have the same transport maximum, leading to some nephrons reaching their limit before others. (A)</p> Signup and view all the answers

Which of the following substances is NOT likely to demonstrate a transport maximum?

<p>Sodium ions (B)</p> Signup and view all the answers

What is the relationship between the sodium-hydrogen exchanger protein and the reabsorption of hydrogen ions?

<p>The protein directly transports hydrogen ions out of the cell, leading to their secretion. (D)</p> Signup and view all the answers

What is the primary difference between secondary active transport and primary active transport?

<p>Secondary active transport uses an electrochemical gradient, while primary active transport uses ATP directly. (C)</p> Signup and view all the answers

In which part of the nephron is the rate of sodium reabsorption primarily determined by the concentration gradient in the tubular lumen?

<p>Proximal tubule (B)</p> Signup and view all the answers

Which of the following MOST ACCURATELY explains why the transport of sodium in the early proximal tubule is not limited by a transport maximum?

<p>The reabsorption of sodium is mainly driven by the electrochemical gradient, not by a specific transport protein. (B)</p> Signup and view all the answers

What is the primary factor responsible for the movement of water across the tubular epithelium in the proximal tubule?

<p>Osmosis driven by the solute concentration difference between the tubular lumen and the renal interstitium. (C)</p> Signup and view all the answers

Which of the following statements BEST explains the relationship between transport maximum and hormone regulation?

<p>Hormones directly influence the transport maximum by changing the number of transport proteins present. (D)</p> Signup and view all the answers

Which of the following conditions would MOST LIKELY lead to an increase in the rate of sodium reabsorption in the proximal tubule?

<p>An increase in the concentration of sodium in the renal interstitium. (C)</p> Signup and view all the answers

What mechanism primarily allows for the reabsorption of large molecules such as proteins in the proximal tubule?

<p>Pinocytosis (B)</p> Signup and view all the answers

How does a decrease in tubular reabsorption impact urinary volume?

<p>It dramatically increases urinary volume. (A)</p> Signup and view all the answers

Which substances are typically reabsorbed almost completely in the renal tubule?

<p>Glucose and amino acids (B)</p> Signup and view all the answers

What type of transport does pinoctosis use, and how does it relate to energy consumption?

<p>Active transport; it requires energy. (A)</p> Signup and view all the answers

What primarily determines whether a substance will be filtered through the glomeruli?

<p>Its binding affinity to plasma proteins (D)</p> Signup and view all the answers

In what manner is tubular reabsorption described in the content?

<p>Variable and highly selective (A)</p> Signup and view all the answers

How are substances transported during reabsorption from the tubular lumen to the blood?

<p>Via the renal interstitium and capillary membrane (D)</p> Signup and view all the answers

Which of the following waste products is poorly reabsorbed, resulting in its large amounts in urine?

<p>Urea (A)</p> Signup and view all the answers

What role do hydrostatic and colloid osmotic pressures play in the transport of solutes in the blood?

<p>They mediate the movement of solutes similar to venous pressures. (C)</p> Signup and view all the answers

Which statement accurately describes the process of active transport?

<p>It requires energy to move solutes against their electrochemical gradient. (B)</p> Signup and view all the answers

How does secondary active transport differ from primary active transport?

<p>Secondary active transport relies on an established ion gradient. (C)</p> Signup and view all the answers

In the sodium-potassium ATPase pump mechanism, what is the primary function?

<p>To maintain a low intracellular concentration of sodium. (B)</p> Signup and view all the answers

What is the significance of the tight junctions between epithelial cells?

<p>They provide structural support and regulate permeability. (D)</p> Signup and view all the answers

What happens to sodium ions during the process of secondary active transport involving glucose?

<p>They diffuse from the tubular fluid into the cell, bringing glucose with them. (B)</p> Signup and view all the answers

Which fluid is primarily responsible for solute transport between the cell junctions?

<p>Interstitial fluid (A)</p> Signup and view all the answers

What occurs during venous reabsorption?

<p>Solutes are reabsorbed into the blood through hydrostatic pressure. (D)</p> Signup and view all the answers

What is the role of the sodium-potassium ATPase pump in tubular epithelial cells?

<p>It creates a negative intracellular charge by actively transporting sodium out of the cell. (D)</p> Signup and view all the answers

How is sodium primarily reabsorbed in the proximal tubule?

<p>Through both transcellular and paracellular pathways. (C)</p> Signup and view all the answers

Which factor contributes to the concentration gradient for sodium reabsorption?

<p>Low intracellular sodium concentration maintained by the sodium-potassium pump. (A)</p> Signup and view all the answers

What effect does the extensive brush border have on sodium reabsorption in the proximal tubule?

<p>It multiplies the surface area for reabsorption by about 20-fold. (D)</p> Signup and view all the answers

What is the typical sodium concentration inside tubular epithelial cells?

<p>12 mM (C)</p> Signup and view all the answers

Which statement accurately describes the transcellular pathway of sodium reabsorption?

<p>Sodium primarily enters the cell through the apical membrane down an electrochemical gradient. (B)</p> Signup and view all the answers

What represents the electrochemical gradient's effect on sodium transport in tubular epithelial cells?

<p>It drives sodium into the cell due to a negative internal charge. (C)</p> Signup and view all the answers

Which process enhances sodium transport in the proximal tubule aside from the sodium-potassium pump?

<p>Carrier proteins that facilitate diffusion. (C)</p> Signup and view all the answers

Flashcards

Pino ptosis in the renal tubule

The process by which large molecules, such as proteins, are taken back into the bloodstream from the renal tubules.

Non-selective filtration

The filtration process in the kidneys allows substances to pass through the glomerulus based on size and not their chemical properties.

Glomerular filtration rate (GFR) dependent on plasma concentration

The amount of a substance reabsorbed by the tubules depends on its concentration in the blood.

Sensitivity of urine excretion to filtration and reabsorption

A small change in glomerular filtration or tubular reabsorption can have a large effect on the amount of urine excreted.

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Selective reabsorption of substances

Tubular reabsorption of substances can be independently controlled, allowing the body to finely tune the composition of urine.

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Reabsorption route

The process of reabsorption involves the movement of substances across the tubular epithelial membrane, into the renal interstitial space, and then into the blood.

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Active and passive transport in reabsorption

Substances can be transported across the renal tubular membrane using active or passive transport.

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Transcellular and paracellular pathways in reabsorption

Reabsorption can occur through either the transcellular pathway (across the epithelial cells) or the paracellular pathway (between the cells).

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Filtration

The movement of fluids and solutes from the inside of blood vessels (capillaries) to the space between cells (interstitial space). It's driven by pressure differences and is a crucial step in the filtration process.

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Reabsorption

The movement of fluids and solutes from the space between cells (interstitial space) back into the bloodstream (capillaries). It's driven by osmotic pressure and pressure differences, helping to regulate fluid balance in the body.

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Epithelial Cells and Tight Junctions

The tight junctions between epithelial cells form a barrier, regulating the movement of substances between the tubular lumen and the interstitial space.

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Active Transport

This type of transport moves solutes against their concentration gradient, requiring energy input. An example is the sodium-potassium pump.

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Secondary Active Transport

This type of transport uses the energy from one molecule's movement down its concentration gradient to move another molecule against its gradient. It's often coupled with sodium.

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Sodium Potassium ATPase Pump

A protein pump found in cell membranes that actively moves sodium out of the cell and potassium into the cell. It uses energy from ATP and is crucial for maintaining cell membrane potential and fluid balance.

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Passive Transport

The movement of molecules from an area of high concentration to an area of low concentration. It doesn't require energy.

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Capillary Walls

The thin layer that surrounds capillaries, filtering substances entering and leaving the bloodstream.

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Transcellular Pathway

A route that allows solutes to move through the cells of the nephron, crossing the apical membrane, cytoplasm, and basal membrane.

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Paracellular Pathway

A route that allows solutes to move between the cells of the nephron, passing through tight junctions.

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Primary Active Transport

A type of active transport that uses energy from ATP to move molecules against their concentration gradient, from low to high concentration.

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Sodium-Potassium Pump

A protein embedded in the cell membrane that actively pumps sodium ions out of the cell and potassium ions into the cell, using energy from ATP.

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Brush Border

The microscopic folds of the cell membrane that greatly increase the surface area for absorption in the proximal tubule.

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Carrier Protein

A protein that facilitates the diffusion of a specific molecule across the cell membrane.

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Sodium Reabsorption

The net movement of sodium from the tubular lumen across the apical membrane into the cell, followed by its movement across the basal membrane into the interstitial fluid, and finally into the bloodstream.

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Countertransport

When the movement of two substances is in opposite directions. One substance moving down its concentration gradient provides the energy for the other to move against its concentration gradient.

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Transport Maximum

When the filtered load of a substance exceeds the capacity of the transport systems in the renal tubules.

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Tm

The maximum rate at which a substance can be reabsorbed by the renal tubules.

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Excretion due to Transport Maximum

The process where a substance is excreted in the urine because its filtered load exceeds the transport maximum, leading to saturation of the reabsorption systems.

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Reabsorption-Excretion Graph

A graph showing the relationship between the filtered load of a substance and its reabsorption by the renal tubules. It demonstrates how beyond a certain point (Tm), reabsorption plateaus, and excretion increases.

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Excretion

The process of removing waste products from the body, primarily through urine.

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Sodium-Glucose Cotransporter (SGLT)

A protein that binds to both sodium ions and glucose or amino acids, facilitating their simultaneous transport across the membrane.

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Sodium Gradient-Driven Secondary Active Transport

The movement of sodium ions down their concentration gradient, providing energy for the transport of glucose or amino acids against their concentration gradient.

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Glucose Reabsorption

The process by which glucose is reabsorbed from the tubular lumen back into the bloodstream.

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Glucose Transporter (GLUT)

A carrier protein located on the basal lateral side of the tubular cell that facilitates the movement of glucose out of the cell.

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Sodium Potassium Pump (Na+/K+ ATPase)

The process by which sodium ions are actively pumped out of the cell against their concentration gradient, using energy from ATP hydrolysis.

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Electrochemical Gradient

The difference in concentration and electrical charge between two areas, such as inside and outside a cell.

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Secondary Active Transport Dependence on Primary Active Transport

The energy required for the transport of molecules across a membrane is derived from the primary active transport of sodium.

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Transport Maximum (Tm)

The maximum rate of transport of a substance across the tubular membrane, beyond which further increases in the concentration of the substance in the tubular lumen do not increase the reabsorption rate.

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Gradient-Time Transport in the Proximal Tubule

The reabsorption of a substance is influenced by its concentration gradient between the tubular lumen and the interstitium. The higher the concentration in the lumen, the more reabsorption occurs. This is particularly relevant in the proximal tubule where junctions are looser.

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Transport Maximum (Tm) in Tight Junctions

In areas of the nephron with tighter junctions, such as the distal tubules, reabsorption mechanisms are primarily responsible for solute transport. This is because the leakiness of the junctions is reduced, and the concentration gradient alone is not enough to drive reabsorption.

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Osmosis in Tubular Reabsorption

The process by which water follows the movement of solutes from the tubular lumen into the interstitium. This creates a concentration difference that drives water movement across the tubular membrane.

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Rapid Water Reabsorption in the Proximal Tubule

The proximal tubule is highly permeable to water, allowing for rapid water reabsorption. This is because the osmotic forces driving water movement are strong, and the proximal tubule is designed to quickly reabsorb water.

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Study Notes

Tubular Reabsorption

  • Large molecules like proteins are reabsorbed in the proximal tubule via pinocytosis.
  • The proteins are digested into amino acids, which are then reabsorbed.
  • This process requires energy, making it active transport.

Filtration

  • Filtration is non-selective.
  • Substances not bound to protein are filtered.
  • The amount filtered depends on its plasma concentration.
  • Glomerular filtration is significantly higher than urine output, leading to high tubular reabsorption.
  • A small change in filtration or reabsorption can cause a large change in urinary output.
  • A 10% decrease in reabsorption can increase urinary volume from 1.5 to around 19.3 liters per day.

Tubular Reabsorption Mechanisms

  • Reabsorption is highly selective.
  • Substances like glucose and amino acids are almost completely reabsorbed.
  • Sodium and chloride reabsorption is variable.
  • Waste products like urea are poorly reabsorbed and excreted in large amounts.
  • Reabsorption utilizes transcellular or paracellular pathways.

Active Transport

  • Active transport moves substances against their electrochemical gradient, requiring energy, often from ATP.
  • The sodium-potassium pump is an example of active transport, which moves sodium out of the cell and potassium into the cell.

Secondary Active Transport

  • Secondary active transport is indirectly coupled to energy sources.
  • Sodium potassium pump builds a concentration gradient for sodium.
  • Glucose and amino acids are reabsorbed via secondary active transport, transported with sodium ions across the membrane.

Transport Maximum

  • There's a limit to the rate of active reabsorption.
  • Carrier proteins and specific enzymes involved saturate when the filtered load exceeds the capacity of the tubule for reabsorption.
  • Glucose reabsorption has a maximum rate, and excess glucose is excreted when filtered load exceeds capacity.

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